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r <br />EAP EvPryrRPn APPLICATION FOR PYP,P„ <br />CITY OF CONSTRUCTIOI, <br />everett PERMIT <br />DIPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 r EVERETT. WA 9E101 WOMBINATION P9BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />i�9NGe NIA IT io (ON ZIP INTONE <br />ELI' 3 35 3 —796 7 <br />ARCHITECT OR INTO R MAII AMR[ SS CITY ZIP PHONF <br />L <br />L <br />-V'fY21E'5 Cv�s-IL r-0- 0,x 24r7 Sq�{/.,izsf y�dba %4�-�H�DFaIEcaP7 <br />MICHANICAI CONTRACTOR MAII AMR%&$ CITY ZIP PHONF LICtNSI P API <br />NLIM"INI. CONTRACTOR MAII ADDRISS (III ZIP PHONI IICINSI R <br />CIA%$OI WOPK <br />❑NEW §9ADDI7ION ❑ALTERATION CRt^AIR ❑DEMOLITION ❑FENCE ❑SIGH ❑GARAGE ❑BUILDING RELOCATION <br />V <br />ZI�^I,O�MnyOI WORK <br />CJ� P <br />D(/ RD `ka ro 1 5 4v9-Y "l%i-ho I/ln , /L A--j6P ITLD / /?J9-eW it "ZI )79, <br />IMunnuu.H w Rw1DINl; <br />�-. •"Nr CY •� <br />I HEREBY CERTIFY THAT I HAVE READ AND EANDC R THIS A L <br />PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE P RMAN OF CONSTRUCTION. <br />SIGNATURE DATE <br />N <br />3�-v/ <br />HGAI nHCRIPIIn.I OF PRONRI, I,BO of HR .IT.u11ouR ITTNIV <br />I'll D E 7, e A J <br />"Ie " OI ( <br />uO L OI <br />/ TOR AUnRI tf �s��5_ (oa ^ <br />PLUMBING` <br />AtCHANICAL <br />NO. <br />711E OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />WAIIBnU,ITITO141I <br />OQ <br />AIR CONDUNITS-HP IA <br />RATHTUR <br />RI fRIGI RATION UNITS - TIP FA <br />L AVATORY E&IIAH RASINI <br />0 <br />BOHIRS-HP IN <br />SIIOWIR <br />f <br />GASFIRFDAC UNITS-TGNNACI IA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTIMS-B I U M I A <br />❑ISWASHIR <br />WAIT IIIAIIRS-07U A, <br />IAUNVI, IRA, <br />UNIT IIIAIIRS-BI U AI <br />(IOIIIISWASHIR <br />Oro <br />IVAPORATIVI CO(111R, <br />W All R HI ATIR <br />CI OOH S ORVI RS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />- <br />11 OOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BRI AKf RS <br />STOW <br />ROOF DRAINS-RAINI IADI R, <br />MITRE MINA([ A CHIMHI, <br />NNK Of RVICF-BAR ITT I <br />SUB TOTAL <br />SUB TOTAL S <br />PPRMIT f <br />PERASIT s <br />TOTAL III $ <br />TOTAL F11 S <br />SIDI YARDS)) LIA( I <br />STRIFE SITRACK <br />BEAR YARD SI TRACK <br />PLAN CHICK NUMBIR <br />d J J <br />PLAN CHECK Fit <br />Fit RIC To <br />USE ZDN( <br />TOY AREA <br />OYES SIZE <br />OYff ONO <br />HIS <br />VAlUAT10N <br />f[I <br />TYPI OF COAST <br />- N <br />OCCUPANCY GROUP <br />A1xAFJ R-3 <br />NO OF OWILIING UNITS <br />I <br />BUILDING <br />f <br />SIZE OF BLDG <br />ADdN 746i.f. <br />NO OF STORIES <br />I <br />MAX OCC LOAD <br />-- <br />PLUMBING <br />FIRE ZONE <br />BASEMINI <br />-" <br />BI OR(H 111 <br />'-- <br />FIRE SPRINKIIRS <br />RIQUIRID <br />ny(S WIGO <br />MICHANICAI <br />APPROVALS <br />BT <br />OATI <br />OTHER <br />1 INVIRONMINTA( (HICK LIST <br />PINM Ef <br />LI RC <br />SF IDXtl <br />7 BUILDING PLANS <br />S TIRE HYDRANT <br />TOTAL <br />9 <br />eo <br />A 1 WE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHIN PROPERLY VAUDATI D IIN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGII %(AVAI ION A CI I ABINCIGNUB9 1G <br />6 DRAINAGE <br />7 INVIR•-NAIINTAL IMPACT STATEMENT <br />A HIMTH U.,TRI(I <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />f) IV III <br />APPB FOR ISSUANCE BY <br />9 1 79 <br />.J <br />A <br />J <br />